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🥝 HC & Insurance Operations Associate

NTT | Chennai, India | Posted June 04, 2026

Job Description

JOB DESCRIPTION

Roles and Responsibilities:

  • Process Adjudication claims and resolve for payment and Denials
  • Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
  • Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
  • Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
  • Organizing and completing tasks according to assigned priorities.
  • Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
  • Resolving complex situations following pre-established guidelines
  • Requirements:

  • 1-3 years of experience in processing claims adjudication and adjustment process
  • Experience of Facets is an added ad...
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